INTUITIVE SURGICAL INC
Business
INTUITIVE SURGICAL INC develops and supplies robotic-assisted medical technologies to advance minimally invasive care and augment clinician capabilities. It offers advanced robotic systems (da Vinci and Ion), instruments and accessories (stapling, energy, endoscopes, biopsy tools), customer learning and training, field service and support, and cloud-enabled digital solutions (analytics, 3D modeling, Hub, and My Intuitive). The business is organized around product families and supporting services—systems, instruments and accessories, learning, services, and digital solutions—operated as a single reporting segment. Products and services are sold worldwide through direct sales in key markets and distributors elsewhere, with service networks and joint ventures in select countries.
Summary from filing dated 2025-01-31
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Total revenue | 10,065 | 8,352 | 7,124 | 6,222 | 5,710 | |
| Total cost of revenue | 3,422 | 2,718 | 2,395 | 2,026 | 1,752 | |
| Gross profit | 6,642 | 5,634 | 4,730 | 4,196 | 3,959 | |
| Selling, general and administrative | 2,385 | 2,140 | 1,964 | 1,740 | 1,467 | |
| Research and development | 1,312 | 1,145 | 999 | 879 | 671 | |
| Total operating expenses | 3,697 | 3,285 | 2,963 | 2,619 | 2,138 | |
| Income from operations | 2,946 | 2,349 | 1,767 | 1,577 | 1,821 | |
| Interest and other income, net | 366 | 325 | 192 | 30 | 69 | |
| Income before taxes | 3,311 | 2,674 | 1,959 | 1,607 | 1,890 | |
| Income tax expense | 435 | 336 | 142 | 262 | 162 | |
| Net income | 2,877 | 2,338 | 1,817 | 1,344 | 1,728 | |
| Less: net income attributable to noncontrolling interest in joint venture | 21 | 15 | 19 | 22 | 24 | |
| Net income attributable to Intuitive Surgical, Inc. | 2,856 | 2,323 | 1,798 | 1,322 | 1,705 | |
| Basic (usd per share) | 8 | 6.54 | 5.12 | 3.72 | 4.79 | |
| Diluted (usd per share) | 7.87 | 6.42 | 5.03 | 3.65 | 4.66 | |
| Basic (shares) | 357 | 355 | 351 | 356 | 356 | |
| Diluted (shares) | 363 | 362 | 357 | 362 | 366 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 3,368 | 2,027 | 2,750 | 1,581 | 1,291 | |
| Short-term investments | 2,567 | 1,986 | 2,473 | 2,537 | 2,913 | |
| Accounts receivable, net of allowances of $29.9 and $30.7 as of December 31, 2025, and 2024, respectively | 1,527 | 1,225 | 1,130 | 942 | 783 | |
| Inventory | 1,840 | 1,487 | 1,221 | 893 | 587 | |
| Prepaids and other current assets | 477 | 385 | 314 | 300 | 271 | |
| Total current assets | 9,780 | 7,111 | 7,888 | 6,253 | 5,845 | |
| Property, plant, and equipment, net | 5,342 | 4,647 | 3,538 | 2,374 | 1,876 | |
| Long-term investments | 3,099 | 4,819 | 2,120 | 2,624 | 4,416 | |
| Deferred tax assets | 1,019 | 1,045 | 911 | 665 | 441 | |
| Intangible and other assets, net | 849 | 774 | 637 | 710 | 633 | |
| Goodwill | 370 | 348 | 349 | 349 | 344 | |
| Total assets | 20,459 | 18,743 | 15,442 | 12,974 | 13,555 | |
| Accounts payable | 255 | 193 | 189 | 147 | 121 | |
| Accrued compensation and employee benefits | 648 | 536 | 436 | 402 | 350 | |
| Deferred revenue | 507 | 469 | 446 | 397 | 377 | |
| Other accrued liabilities | 596 | 548 | 588 | 476 | 301 | |
| Total current liabilities | 2,006 | 1,745 | 1,659 | 1,422 | 1,150 | |
| Other long-term liabilities | 511 | 468 | 386 | 439 | 454 | |
| Total liabilities | 2,517 | 2,214 | 2,044 | 1,861 | 1,604 | |
| Commitments and contingencies (Note 8) | — | — | — | — | — | |
| Preferred stock, 2.5 shares authorized, $0.001 par value, issuable in series; zero shares issued and outstanding as of December 31, 2025, and 2024 | 0 | 0 | 0 | 0 | 0 | |
| Common stock, 600.0 shares authorized, $0.001 par value, 355.1 shares and 356.6 shares issued and outstanding as of December 31, 2025, and 2024, respectively | 400,000 | 400,000 | 400,000 | 400,000 | 400,000 | |
| Additional paid-in capital | 10,769 | 9,681 | 8,576 | 7,704 | 7,164 | |
| Retained earnings | 7,012 | 6,803 | 4,743 | 3,500 | 4,761 | |
| Accumulated other comprehensive income (loss) | 43 | −51 | −12 | −163 | −24 | |
| Total Intuitive Surgical, Inc. stockholders equity | 17,824 | 16,434 | 13,308 | 11,042 | 11,901 | |
| Noncontrolling interest in joint venture | 118 | 96 | 90 | 71 | 50 | |
| Total stockholders equity | 17,942 | 16,530 | 13,397 | 11,113 | 11,952 | |
| Total liabilities and stockholders equity | 20,459 | 18,743 | 15,442 | 12,974 | 13,555 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and loss on disposal of property, plant, and equipment, net | 615 | 445 | 402 | 338 | 283 | |
| Amortization of intangible and other assets | 62 | 54 | 53 | — | — | |
| Gain on sale of business | −1 | −1 | 0 | −4 | 0 | |
| (Gain) loss on investments and (accretion) amortization of investment discounts and premiums, net | −57 | −43 | 7 | 49 | 11 | |
| Deferred income taxes | 19 | −135 | −281 | −185 | −63 | |
| Share-based compensation expense | 788 | 677 | 593 | 513 | 449 | |
| Accounts receivable | −302 | −96 | −186 | −159 | −142 | |
| Inventory | −1,063 | −830 | −713 | −547 | −256 | |
| Prepaids and other assets | −187 | −232 | 24 | −129 | −205 | |
| Accounts payable | 58 | −400,000 | 42 | 21 | 36 | |
| Accrued compensation and employee benefits | 113 | 99 | 35 | 52 | 115 | |
| Deferred revenue | 75 | 31 | 53 | 22 | 33 | |
| Other liabilities | 34 | 108 | −33 | 122 | 51 | |
| Net cash provided by operating activities | 3,031 | 2,415 | 1,814 | 1,491 | 2,089 | |
| Purchases of investments | −1,216 | −5,140 | −2,207 | −1,400 | −6,452 | |
| Proceeds from sales of investments | 260 | 100 | 230 | 61 | 85 | |
| Proceeds from maturities of investments | 2,176 | 2,879 | 2,690 | 3,254 | 4,268 | |
| Purchases of property, plant, and equipment | −540 | −1,111 | −1,064 | −532 | −340 | |
| Acquisition of businesses, net of cash, and intellectual property and other investing activities | −14 | −1 | −9 | 13 | 23 | |
| Net cash provided by (used in) investing activities | 666 | −3,273 | −360 | 1,371 | −2,462 | |
| Proceeds from issuance of common stock relating to employee stock plans | 350 | 429 | 296 | 234 | 277 | |
| Taxes paid related to net share settlement of equity awards | −419 | −270 | −165 | −194 | −212 | |
| Repurchases of common stock | −2,295 | 0 | −416 | −2,607 | 0 | |
| Cash dividends paid by joint venture to noncontrolling interest | 0 | −8 | 0 | 0 | — | |
| Payment of deferred purchase consideration | 0 | −500,000 | −3 | −5 | −22 | |
| Net cash provided by (used in) financing activities | −2,364 | 151 | −288 | −2,572 | 43 | |
| Effect of exchange rate changes on cash, cash equivalents, and restricted cash | 13 | −800,000 | 3 | 5 | −3 | |
| Net increase (decrease) in cash, cash equivalents, and restricted cash | 1,345 | −708 | 1,169 | 295 | −333 |